Procedures & surgery prices at Mid-Valley Hospital

Omak, WA · every code in this section with a posted price and a Medicare benchmark.

934 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $602 $860 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $435.40 $622 0.4×
Abdomen Surgery Procedure (22999) $2,126.60 $3,038 7.7×
Acne surgery (10040) $100.80 $144 0.5×
Acromiopl/Acromionect Partial (23130) $1,626.10 $2,323 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,248.80 $1,784 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,792.70 $2,561 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,406.60 $3,438 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,486.10 $2,123 0.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,378.30 $1,969 0.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,058.70 $2,941 0.9×
Amniocentesis diagnostic (59000) $241.50 $345 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,624 $2,320 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,661.10 $2,373 0.5×
Amputate Metacarpal Bone (26910) $2,119.60 $3,028 0.6×
Amputation foot transmetarsal (28805) $1,625.40 $2,322 0.4×
Amputation metatarsal with toe single (28810) $973.70 $1,391 0.3×
Amputation thigh through femur any level (27590) $2,786.70 $3,981 0.8×
Amputation toe interphalangeal joint (28825) $687.40 $982 0.2×
Amputation toe metatarsophalangeal joint (28820) $700.70 $1,001 0.2×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $2,041.90 $2,917 0.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $2,370.20 $3,386 0.7×
Anoscopy diagnostic (46600) $245.70 $351 1.7×
Anoscopy; with biopsy, single or multiple (46606) $231 $330 0.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $240.10 $343 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $1,570.80 $2,244 0.3×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,753.50 $2,505 0.2×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $519.40 $742 1.7×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $46.90 $67 0.3×
Application cast elbow finger short arm (29075) $169.40 $242 0.5×
Application Finger Splint Dynamic (29131) $98 $140 1.5×
Application finger splint static (29130) $86.80 $124 0.6×
Application long arm splint shoulder hand (29105) $223.30 $319 1.2×
Application Long Leg Cast Walker/Ambulatory Type (29355) $311.50 $445 1.0×
Application Long Leg Splint (29505) $147.70 $211 0.8×
Application of long leg cast (29345) $303.80 $434 1.0×
Application of rigid total contact leg cast (29445) $250.60 $358 0.8×
Application Patellar Tendon Bearing Cast (29435) $241.50 $345 0.8×
Application short arm splint forearm-hand static (29125) $128.80 $184 0.9×
Application short leg splint calf foot (29515) $149.80 $214 0.8×
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,368.50 $1,955 0.2×
Apply hand/wrist cast (29085) $186.90 $267 1.0×
Apply long arm cast (29065) $198.80 $284 0.6×
Apply Multlay Comprs Lwr Leg (29581) $78.40 $112 0.4×
Apply Short Leg Cast (29405) $173.60 $248 0.6×
Apply short leg cast (29425) $163.10 $233 0.5×
Arterial puncture (36600) $140.70 $201 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $107.10 $153 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $128.10 $183 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $293.30–$585.20 $419–$836 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $104.30 $149 0.3×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $2,914.80 $4,164 0.8×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $3,306.80–$44,397.50 $4,724–$63,425 varies
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $1,917.30 $2,739 0.5×
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure		 $1,675.80 $2,394 0.1×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $1,778 $2,540 0.1×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $2,471 $3,530 1.4×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,460.20 $2,086 0.4×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
unusually low: confirm this is the full procedure		 $2,655.10 $3,793 0.3×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $1,062.60 $1,518 0.3×
Arthroscopy Knee Osteochondral Allograft (29867)
likely a partial charge, not the full procedure		 $3,318 $4,740 0.2×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,797.60 $2,568 0.5×
Arthroscopy knee synovectomy limited spx (29875) $1,355.90 $1,937 0.4×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,425.90 $2,037 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $1,563.80 $2,234 0.4×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure		 $2,433.20 $3,476 0.3×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
likely a partial charge, not the full procedure		 $2,119.60 $3,028 0.3×
Arthroscopy, knee, surgical; with lateral release (29873) $1,247.40 $1,782 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $1,933.40 $2,762 0.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,586.20 $2,266 0.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $2,107 $3,010 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,368.50 $1,955 0.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,251.60 $1,788 0.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $2,374.40 $3,392 0.3×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $1,558.20 $2,226 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $2,452.80–$17,282.30 $3,504–$24,689 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,368.10 $3,383 0.6×
Arthrotomy Glenohumeral Joint W/Biopsy (23100) $1,333.50 $1,905 0.4×
Arthrotomy W/Meniscus Repair Knee (27403)
likely a partial charge, not the full procedure		 $1,704.50 $2,435 0.2×
Arthrotomy W/Synovectomy Ankle (27625) $1,321.60 $1,888 0.4×
Arthrotomy wrist joint with synovectomy (25105) $1,316 $1,880 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $2,933–$28,872.90 $4,190–$41,247 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $3,168.20 $4,526 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $2,242.80 $3,204 0.3×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure		 $3,177.30 $4,539 0.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,523.90 $2,177 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,433.60 $2,048 0.4×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $1,684.90 $2,407 0.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,298.50 $1,855 0.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,043.70 $1,491 0.6×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $887.60 $1,268 0.2×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $1,704.50 $2,435 0.5×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,217.30 $1,739 0.3×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $1,518.30 $2,169 0.4×
Artificial insemination intra-cervical (58321) $131.60 $188 0.4×
Artificial insemination intra-uterine (58322) $157.50 $225 0.7×
Aspirate pleura w/ imaging (32555) $648.20 $926 0.9×
Aspirate Pleura W/O Imaging (32554) $483.70 $691 0.7×
Aspirate/Inj Ganglion Cyst (20612) $127.40 $182 0.4×
Aspiration and/or injection thyroid cyst (60300) $140 $200 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $230.30 $329 1.0×
Biopsy bone open deep (20245) $237.30 $339 0.1×
Biopsy bone open superficial (20240) $398.30 $569 0.1×
Biopsy external ear (69100) $147.70 $211 0.6×
Biopsy of rectum (45100) $879.90 $1,257 0.3×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,526 $2,180 0.3×
Biopsy Soft Tissue Back/Flank Superficial (21920) $464.10 $663 0.3×
Biopsy soft tissue neck/thorax (21550) $473.90 $677 0.3×
Biopsy Vaginal Mucosa Simple (57100) $200.90 $287 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $112–$173.60 $160–$248 varies
Biopsy, vestibule of mouth (40808) $233.80 $334 0.4×
Biopsy/removal lymph nodes (38510) $1,108.80 $1,584 0.3×
Bladder Scan (51798) $84 $120 1.3×
Blepharotomy drainage abscess eyelid (67700) $339.50 $485 1.0×
Blood Transfusion Service (36430) $551.60 $788 1.1×
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $1,009.40 $1,442 0.1×
Bx breast 1st lesion us imag (19083) $476.70 $681 0.3×
Bx Cervix (57500) $313.60 $448 0.3×
Bx/exc lymph node open deep axillary node (38525) $1,159.90 $1,657 0.3×
Bx/exc lymph node open superficial (38500) $744.80 $1,064 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $869.40 $1,242 0.2×
Capsular contracture release (23020) $1,798.30 $2,569 0.5×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
unusually low: confirm this is the full procedure		 $2,761.50 $3,945 0.3×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,761.20 $2,516 1.0×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,833.30 $2,619 0.5×
Capsulotomy Posterior Capsular Release Knee (27435) $2,879.10 $4,113 0.8×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $1,031.10–$8,103.90 $1,473–$11,577 varies
Carpectomy All Bones Proximal Row (25215) $2,326.80 $3,324 0.6×
Cautery Cervix Cryocautery Initial/Repeat (57511) $392 $560 1.2×
Cerclage cervix pregnancy vaginal (59320) $340.20 $486 0.1×
Chemical Cautery Tissue (17250) $72.10 $103 0.3×
Chest tube placement (32551)
range across 2 matching MRF lines		 $354.20–$459.90 $506–$657 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $907.90 $1,297 0.2×
Circumcision 28 days or older (54161) $522.90 $747 0.2×
Circumcision w/clamp/oth dev w/block (54150) $185.50 $265 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $914.20 $1,306 0.5×
Claviculectomy partial (23120) $1,360.80 $1,944 0.4×
Clear outer ear canal (69200) $158.90 $227 1.1×
Closed Rx Metacarpal Fx,Percut (26608) $1,430.10 $2,043 0.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $1,164.10–$3,291.40 $1,663–$4,702 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $758.80 $1,084 2.8×
Closed Treatment Ulnar Styloid Fracture (25650) $888.30 $1,269 3.2×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $668.34–$1,275.40 $954.77–$1,822 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,122.10–$1,176.70 $1,603–$1,681 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,360.10 $1,943 4.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $686 $980 2.5×
Closed tx carpal scaphoid fracture w/manj (25624) $1,165.50 $1,665 0.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $614.60 $878 2.2×
Closed tx knee dislocation w/o anesthesia (27550) $1,314.60 $1,878 4.8×
Closed tx metatarsal fracture w/o manipulation (28470) $434.70 $621 1.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,479.10 $2,113 0.8×
Closed tx patellar dislocation w/anesthesia (27562) $1,148 $1,640 4.2×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $103.60–$1,150.10 $148–$1,643 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $650.30 $929 2.4×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $668.34–$1,050.70 $954.77–$1,501 varies
Closed tx radial head/neck fx w/o manipulation (24650) $527.80 $754 1.9×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,185.10–$1,325.80 $1,693–$1,894 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $795.20 $1,136 2.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,397.20 $1,996 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560) $745.50 $1,065 2.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $702.10 $1,003 2.6×
Closed tx talus fracture w/o manipulation (28430) $615.30 $879 2.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $491.40 $702 1.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $84 $120 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $585.20 $836 2.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $714.70 $1,021 2.6×
Closure of salivary fistula (42600) $926.10 $1,323 0.3×
Clsd tx clavicular fracture w/o manipulation (23500) $666.40 $952 2.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,180.20 $1,686 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $452.20–$767.90 $646–$1,097 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,434.30 $2,049 5.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,443.40–$1,683.50 $2,062–$2,405 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $888.30 $1,269 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $641.90 $917 2.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $827.40 $1,182 3.0×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $1,465.80–$2,639 $2,094–$3,770 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $627.90 $897 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $799.40 $1,142 2.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $554.40 $792 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $677.60 $968 2.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,528.80 $2,184 0.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,283.80 $1,834 4.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $399.70 $571 1.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $280.70 $401 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $417.90–$487.90 $597–$697 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $362.60 $518 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,309.70–$3,503.50 $1,871–$5,005 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $890.40 $1,272 3.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $769.30 $1,099 2.8×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $405.30–$541.80 $579–$774 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $917.70 $1,311 3.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $856.80 $1,224 3.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $259–$302.40 $370–$432 varies
Cltx iphal jt dislc w/manj w/o anes (26770) $763.70 $1,091 2.8×
Cltx Med Ankle Fx W/Mnpj (27762) $1,283.10 $1,833 0.7×
Cltx Medial Ankle Fx (27760) $913.50 $1,305 3.3×
Cltx metacarpal fx w/manipulation each bone (26605) $1,099 $1,570 4.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $602 $860 2.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,118.60 $1,598 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $908.60 $1,298 3.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $554.40 $792 2.0×
Cltx post hip arthrp dislc req anes (27266) $1,546.30 $2,209 0.9×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $1,166.90–$1,360.80 $1,667–$1,944 varies
Cltx prox fibula/shft fx w/manj (27781) $1,057 $1,510 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $837.20 $1,196 3.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,610 $2,300 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $233.80 $334 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,520.40–$2,737 $2,172–$3,910 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,330 $1,900 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,034.60 $1,478 3.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,849.40 $2,642 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $616 $880 2.2×
Cltx tibial shaft fx w/o manipulation (27750) $931.70 $1,331 3.4×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,178.80–$3,146.50 $1,684–$4,495 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $851.20 $1,216 3.1×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure		 $2,237.20 $3,196 0.4×
Collect Blood From Catheter Venous Nos (36592) $79.80 $114 0.5×
Collection of venous blood by venipuncture (36415) $14.70 $21 1.6×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $599.20 $856 0.4×
Colonoscopy w/ablation (45388) $730.80 $1,044 0.5×
Colonoscopy W/Band Ligation (45398) $665.70 $951 0.5×
Colonoscopy w/fb removal (45379) $1,043.70 $1,491 0.8×
Colonoscopy w/submucosal inj (45381) $1,072.40 $1,532 0.8×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,847.30 $2,639 0.2×
Colporrhaphy (57200) $905.10 $1,293 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $334.60 $478 1.0×
Colposcopy Cervix Endocervical Curettage (57456) $300.30 $429 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $251.30 $359 1.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $328.30 $469 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $389.20 $556 0.1×
Colposcopy entire vagina w/cervix if present (57420) $172.90 $247 0.5×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $358.40 $512 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $939.40 $1,342 0.7×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $590.10 $843 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $618.80 $884 0.5×
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $2,048.90 $2,927 0.4×
Complex drainage wound (10180) $536.90 $767 0.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $712.60 $1,018 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $137.20 $196 0.9×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $303.10–$375.90 $433–$537 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
unusually low: confirm this is the full procedure		 $4,579.40 $6,542 0.3×
Correction hammertoe (28285) $1,248.80 $1,784 0.3×
Curettage postpartum (59160) $644 $920 0.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,977.50 $2,825 0.2×
Cystourethroscopy (52000) $214.20 $306 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,513.40 $2,162 0.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,065.40 $1,522 1.4×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $905.80 $1,294 1.1×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,071.70 $1,531 0.3×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,278.20 $1,826 0.4×
Dcmprn fasct leg post compartment only (27601) $1,183 $1,690 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $467.60 $668 0.6×
Debride nail 1-5 (11720) $44.10 $63 0.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $716.80–$11,969.30 $1,024–$17,099 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $186.90 $267 0.4×
Decomp forearm,1 compart,w/o debride (25020) $1,771.70 $2,531 1.0×
Delivery of placenta (59414) $242.90 $347 0.1×
Denervation of hip joint (27035)
range across 2 matching MRF lines		 $5,298.30–$10,082.80 $7,569–$14,404 varies
Destr penis lesion(s) (54065) $334.60 $478 0.1×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $668.34–$2,202.90 $954.77–$3,147 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $668.34–$2,173.50 $954.77–$3,105 varies
Destruct B9 Lesion 1-14 (17110) $226.10 $323 1.0×
Destruction Benign Lesions 15/> (17111) $264.60 $378 1.2×
Destruction Internal Hemorrhoid Thermal Energy (46930) $438.20 $626 0.3×
Destruction Lesions Vulva Simple (56501) $389.90 $557 0.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $273.70 $391 1.2×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $97.24–$1,439.20 $138.92–$2,056 varies
Destruction Premalignant Lesion 15/> (17004) $298.90 $427 0.7×
Destruction premalignant lesion 1st (17000) $133 $190 0.6×
Diagnostic sigmoidoscopy (45330) $450.10 $643 0.4×
Diaphragm or cervical cap fitting with instructions (57170) $156.10 $223 0.7×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $114.80 $164 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $651 $930 0.2×
Dilation Cervical Canal (57800) $146.30 $209 0.0×
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $3,447.50 $4,925 0.6×
Drain Hand Tendon Sheath (26020) $1,291.50 $1,845 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $355.60 $508 0.5×
Drainage of finger abscess simple (26010) $517.30 $739 2.3×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $405.30–$668.34 $579–$954.77 varies
Drainage of hematoma/fluid (10140) $322 $460 0.2×
Drainage of hydrocele (55000) $239.40 $342 0.3×
Drainage of rectal abscess (45005) $470.40 $672 0.4×
Drainage of scrotal wall abscess (55100) $504.70 $721 0.3×
Drainage of scrotum (54700) $608.30 $869 0.3×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,081.50 $1,545 0.3×
Draw Blood Off Venous Device (36591) $70 $100 0.5×
Dressing Change Under Anesthesia (15852) $122.50 $175 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $167.30 $239 0.7×
Dstrj Lesion Anus Extensive (46924) $478.10 $683 0.2×
Dstrj lesion anus simple surg excision (46922) $398.30 $569 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $245 $350 0.1×
Dstrj Lesion Penis Simple Cryosurgery (54056) $282.10 $403 1.3×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $249.20 $356 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $452.20–$518.70 $646–$741 varies
Dx Bronchoscope/Wash (31622) $316.40 $452 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,717.40 $3,882 1.3×
Egd control bleeding any (43255) $1,545.60 $2,208 0.7×
Egd dilation gastric/duodenal stricture (43245) $473.20 $676 0.2×
Egd Flexible Foreign Body Removal (43247) $928.20 $1,326 0.9×
Egd guide wire insertion (43248) $448.70 $641 0.4×
Egd lesion ablation (43270) $606.90 $867 0.3×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure		 $1,144.50 $1,635 0.1×
Egd place gastrostomy tube (43246) $454.30 $649 0.2×
Egd remove lesion snare (43251) $548.80 $784 0.3×
Endocervical curettage (57505) $275.10 $393 0.3×
Endometrial Biopsy (58100) $203.70 $291 0.9×
Endoscopy Upper Small Intestine (44360) $387.80 $554 0.2×
Enterorrhaphy single perforation (44602) $3,733.80 $5,334 0.9×
Epidural Blood Patch (62273) $394.10 $563 0.5×
Episiotomy or vaginal repair (59300) $404.60 $578 0.1×
Evacuate mole of uterus (59870) $1,996.40 $2,852 0.6×
Evacuation of subungual hematoma (11740) $99.40 $142 0.7×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,603.70 $2,291 0.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $960.40 $1,372 0.5×
Exc abdl tum deep 5 cm/> (22901) $1,723.40 $2,462 0.5×
Exc arm/elbow les sc < 3 cm (24075) $995.40 $1,422 0.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $255.50 $365 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $406.70 $581 0.2×
Exc Back Les Sc < 3 Cm (21930) $1,060.50 $1,515 0.6×
Exc Back Tum Deep 5 Cm/> (21933) $1,952.30 $2,789 0.6×
Exc back tum deep < 5 cm (21932) $1,932 $2,760 0.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,213.10 $1,733 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $470.40 $672 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $531.30 $759 0.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $765.80 $1,094 0.4×
Exc Face Les Sbq 2 Cm/> (21012) $1,022 $1,460 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $287.70 $411 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $347.90 $497 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $384.30 $549 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $452.20 $646 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $662.90 $947 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $1,556.10 $2,223 0.8×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,243.20 $1,776 0.4×
Exc Frenum Labial/Buccal (40819) $529.20 $756 0.3×
Exc ganglion wrist recurrent (25112) $1,054.90 $1,507 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $255.50 $365 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $319.20 $456 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $357 $510 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $1,003.10 $1,433 0.5×
Exc hand tum deep < 1.5 cm (26116) $1,973.30 $2,819 1.1×
Exc hydrocele sprmatic cord uni spx (55500) $1,054.90 $1,507 0.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $844.20 $1,206 0.5×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,010.10 $1,443 0.6×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $767.90 $1,097 0.2×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,435 $2,050 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $393.40 $562 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $465.50 $665 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $656.60 $938 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $629.30 $899 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $950.60 $1,358 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $620.90 $887 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $884.80 $1,264 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $966 $1,380 0.5×
Exc tendon shth lesion leg/ankle (27630) $966 $1,380 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $1,260 $1,800 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $335.30 $479 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $312.20 $446 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $343 $490 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $445.20 $636 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,342.60 $1,918 0.4×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,434.30 $2,049 0.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,432.90 $2,047 0.4×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,086 $2,980 0.6×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,593.20 $2,276 0.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $966.70 $1,381 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $926.10 $1,323 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $953.40 $1,362 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $890.40 $1,272 0.5×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,871.80 $2,674 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,223.60 $1,748 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $591.50 $845 0.7×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,149.70 $3,071 0.7×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,001 $1,430 0.3×
Excision lesion tendon sheath forearm&/wrist (25110) $908.60 $1,298 0.5×
Excision Lingual Frenum Frenectomy (41115) $396.20 $566 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $395.50 $565 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $455 $650 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $485.10 $693 1.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $613.90 $877 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $406.70 $581 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $622.30 $889 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $993.30 $1,419 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $396.20 $566 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $440.30 $629 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $502.60 $718 0.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $704.90 $1,007 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $505.40 $722 0.2×
Excision of extraparenchymal lesion of testis (54512) $1,488.20 $2,126 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $756.70 $1,081 0.4×
Excision of hydrocele; bilateral (55041) $1,880.90 $2,687 0.5×
Excision of hydrocele; unilateral (55040) $877.80 $1,254 0.2×
Excision of local lesion of epididymis (54830) $996.80 $1,424 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $858.20 $1,226 0.3×
Excision of single external papilla or tag, anus (46220) $509.60 $728 0.4×
Excision of vaginal cyst or tumor (57135) $476.70 $681 0.1×
Excision olecranon bursa (24105) $840 $1,200 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,150.40 $3,072 0.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,187.20 $1,696 0.4×
Excision prepatellar bursa (27340) $1,118.60 $1,598 0.3×
Excision Radial Head (24130) $1,388.10 $1,983 0.4×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,681 $3,830 0.4×
Excision soft tissue lesion, external auditory canal (69145) $737.80 $1,054 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,306.90 $1,867 0.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,140.30 $1,629 0.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $893.90 $1,277 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,228.50 $1,755 0.7×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $912.10 $1,303 0.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $2,485.70 $3,551 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,321.60 $1,888 0.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $750.40 $1,072 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,099 $1,570 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,366.40 $1,952 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $901.60 $1,288 0.5×
Excision/curettage cyst/tumor phalanx finger (26210) $1,674.40 $2,392 0.9×
Excision; trochanteric bursa or calcification (27062) $1,243.90 $1,777 0.3×
Explo/Drain Breast Abscess (19020) $837.20 $1,196 0.5×
Exploration of knee joint (27310) $1,943.20 $2,776 0.5×
Exploration penetrating wound spx extremity (20103) $1,016.40 $1,452 0.6×
Exploratory elbow surgery (24000) $1,301.30 $1,859 0.4×
Explore/Treat Elbow Joint (24101) $1,330 $1,900 0.4×
Explore/Treat Hand Joint (26070) $849.80 $1,214 0.5×
Explore/Treat Knee Joint (27331) $1,292.90 $1,847 0.4×
Explore/Treat Wrist Joint (25040) $1,491.70 $2,131 0.4×
External cephalic version (59412) $272.30 $389 0.1×
Fasciectomy Palm Only (26121) $1,633.10 $2,333 0.4×
Fasciotomy palmar open partial (26045) $1,097.60 $1,568 0.3×
Fasciotomy palmar percutaneous (26040) $830.20 $1,186 0.5×
Fasciotomy Plantar Fascia Radical Spx (28062) $1,084.30 $1,549 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,138.80 $4,484 0.9×
Fetal non-stress test (59025) $89.60 $128 0.4×
Fine needle aspiration without imaging guidance (10021) $202.30 $289 0.4×
Fna bx w/us gdn 1st les (10005) $274.40 $392 0.3×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $203–$365.40 $290–$522 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,187.20 $1,696 0.5×
Fusion Finger Joint (26860) $1,461.60 $2,088 0.4×
Fusion of knuckle with graft (26852)
likely a partial charge, not the full procedure		 $2,222.50 $3,175 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,619.70 $5,171 0.8×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,819.30 $2,599 0.9×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $2,924.60 $4,178 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $947.10 $1,353 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,119.30 $1,599 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $575.40 $822 0.6×
Hemorrhoidopexy by stapling (46947) $896 $1,280 0.3×
Hysteroscopy Biopsy (58558) $3,304.70 $4,721 0.9×
Hysteroscopy Endometrial Ablation (58563) $5,284.30 $7,549 0.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,036.70 $1,481 0.3×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $814.10 $1,163 0.1×
I&d abscess simple (10060) $234.50 $335 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,337.70 $1,911 0.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,590.40 $2,272 0.4×
I&d perianal abscess superficial (46050) $482.30 $689 0.5×
I&d pilonidal cyst complicated (10081) $463.40 $662 0.6×
I&d pilonidal cyst simple (10080) $299.60 $428 0.4×
I&d shoulder deep abscess/hematoma (23030) $659.40 $942 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $619.50 $885 0.2×
Ileoscopy Stoma W/Balloon Dilation (44381) $226.10 $323 0.1×
Incise external hemorrhoid (46083) $424.90 $607 1.5×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $1,419.60–$5,408.90 $2,028–$7,727 varies
Incise flexor carpi radialis (25001) $907.20 $1,296 0.2×
Incision & drainage abscess complicated/multiple (10061) $499.80 $714 1.1×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,431.50 $2,045 0.4×
Incision & removal foreign body subq tiss compl (10121) $557.90 $797 0.3×
Incision & removal foreign body subq tiss simple (10120) $298.90 $427 0.7×
Incision and drainage of bartholin's gland abscess (56420) $270.20 $386 1.2×
Incision and drainage of vulva or perineal abscess (56405) $323.40 $462 1.0×
Incision extensor tendon sheath wrist (25000) $805.70 $1,151 0.4×
Incision of Foot Tendon (28234) $704.20 $1,006 0.4×
Incision of labial frenum (frenotomy) (40806) $94.50 $135 0.2×
Incision of lingual frenum (frenotomy) (41010) $442.40 $632 0.3×
Incision of rectal abscess (46040) $1,220.10 $1,743 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $413 $590 0.2×
Incisional biopsy skin single lesion (11106) $315 $450 0.4×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $463.40–$926.10 $662–$1,323 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $125.30–$209.30 $179–$299 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $113.40 $162 0.3×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 4 matching MRF lines		 $161–$592.90 $230–$847 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 5 matching MRF lines		 $301–$534.10 $430–$763 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $174.20–$385.70 $248.85–$551 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 5 matching MRF lines		 $187.60–$526.40 $268–$752 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $203.70–$560 $291–$800 varies
Injection for identification of sentinel node (38792) $109.20 $156 0.2×
Injection single tendon origin/insertion (20551) $114.80 $164 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $105.70 $151 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $121.10 $173 0.4×
Injection therapeutic carpal tunnel (20526) $161.70 $231 0.5×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 5 matching MRF lines		 $263.90–$545.30 $377–$779 varies
Injection, anesthetic agent; femoral nerve, single (64447) $121.10 $173 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $150.50 $215 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $113.40 $162 0.5×
Insert cath pleura w/o image (32556) $317.10 $453 0.1×
Insert Drug Implant Device (11981) $199.50 $285 1.3×
Insert Gastrostomy Tube Percutaneous (49440) $521.50 $745 0.2×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $513.10–$576.80 $733–$824 varies
Insert pessary/other device (57160) $147.70 $211 0.7×
Insert Temp Bladder Cath (51702) $87.50 $125 0.6×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $2,424.10–$7,110.60 $3,463–$10,158 varies
Insert,Non-Indwelling Bladder Catheter (51701) $88.90 $127 0.6×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $305.20–$587.30 $436–$839 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $926.10 $1,323 0.5×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure		 $1,293.60 $1,848 0.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $665 $950 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $1,274 $1,820 0.4×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $48.62–$319.90 $69.46–$457 varies
Knee Arthroscopy/Surgery (29874) $1,465.80 $2,094 0.4×
Lap paraesoph her rpr w/mesh (43282) $6,138.30 $8,769 0.5×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $3,945.20 $5,636 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,588.60 $3,698 0.2×
Laparoscopic myomectomy (58545)
unusually low: confirm this is the full procedure		 $2,069.90 $2,957 0.3×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $858.20 $1,226 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,097.90 $2,997 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $954.80 $1,364 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $995.40–$11,797.10 $1,422–$16,853 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure		 $2,795.80 $3,994 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $2,089.50–$13,442.10 $2,985–$19,203 varies
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,810.20 $2,586 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $1,497.30–$16,758.70 $2,139–$23,941 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $1,380.40–$13,143.20 $1,972–$18,776 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $2,238.60 $3,198 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,456.30 $3,509 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,855 $2,650 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,645.70 $2,351 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,299.20 $1,856 0.2×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990)
likely a partial charge, not the full procedure		 $1,696.10 $2,423 0.3×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $944.30 $1,349 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $752.50 $1,075 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,635.20 $2,336 0.2×
Laps Gastric Restrictive Px Remove Device & Port (43774) $2,548 $3,640 0.6×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $3,074.40 $4,392 0.3×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $249.90–$450.10 $357–$643 varies
Late closure of wound (13160) $1,826.30 $2,609 0.5×
Lateral retinacular release open (27425) $1,054.20 $1,506 0.3×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,729 $2,470 0.2×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $2,900.80 $4,144 0.2×
Ligation of hemorrhoids (46946) $601.30 $859 0.2×
Ligation or biopsy temporal artery (37609) $550.20 $786 0.3×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $713.30 $1,019 0.2×
Lysis of labial adhesions (56441) $406.70 $581 0.1×
Manipulation Ankle Under General Anesthesia (27860) $501.90 $717 0.1×
Manipulation Elbow Under Anesthesia (24300) $1,135.40 $1,622 0.6×
Manipulation knee joint under general anesthesia (27570) $411.60 $588 0.2×
Manipulation wrist under anesthesia (25259) $1,125.60 $1,608 0.6×
Manipulation, finger joint, under anesthesia, each joint (26340) $990.50 $1,415 0.6×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $536.20 $766 0.3×
Marsupialization of bartholin's gland cyst (56440) $415.80 $594 0.1×
Mastectomy for gynecomastia (19300) $1,372.70 $1,961 0.3×
Mastectomy partial (19301) $1,701.70 $2,431 0.4×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,536.80 $3,624 0.3×
Maternity Care Procedure (59899) $461.30 $659 2.0×
Muscle-skin graft trunk (15734) $2,687.30 $3,839 0.7×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,479.80 $2,114 0.4×
N Block Inj Ilio-Ing/Hypogi (64425) $559.30 $799 0.7×
N block inj intercost sng (64420) $451.50 $645 0.6×
N Block Inj Plantar Digit (64455) $59.50 $85 0.2×
N Block Lumbar/Thoracic (64520)
range across 5 matching MRF lines		 $219.10–$555.80 $313–$794 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,183 $1,690 0.7×
Needle Biopsy Lymph Nodes (38505) $161 $230 0.1×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,389.50 $1,985 0.6×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,362.90 $1,947 0.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $210–$245 $300–$350 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $443.80–$886.90 $634–$1,267 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $526.40 $752 0.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $482.30 $689 0.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $514.50 $735 0.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $485.80 $694 0.6×
Occipital Nerve Block (64405) $147 $210 0.4×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $2,109.10 $3,013 0.3×
Open biopsy/excision inguinofemoral nodes (38531) $1,161.30 $1,659 0.3×
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,888.60 $2,698 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,762.60 $2,518 0.2×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $3,059 $4,370 0.4×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $2,592.80 $3,704 0.2×
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure		 $2,028.60 $2,898 0.3×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure		 $2,128 $3,040 0.3×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure		 $2,203.60 $3,148 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,400 $2,000 0.2×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,302.70 $1,861 0.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $1,534.40 $2,192 0.2×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure		 $1,512.70 $2,161 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,661.10 $2,373 0.2×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
unusually low: confirm this is the full procedure		 $2,584.40 $3,692 0.3×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low: confirm this is the full procedure		 $3,540.60 $5,058 0.4×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
unusually low: confirm this is the full procedure		 $4,452.70 $6,361 0.3×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,697.50 $2,425 0.2×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,443.40 $2,062 0.2×
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $1,680.70 $2,401 0.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $1,842.40 $2,632 0.2×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $2,033.50 $2,905 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $1,827 $2,610 0.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,736.30 $3,909 0.8×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure		 $1,664.60 $2,378 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,491.70 $2,131 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $1,168.30 $1,669 0.3×
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
likely a partial charge, not the full procedure		 $1,673.70 $2,391 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,647.80 $2,354 0.2×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $2,508.10 $3,583 0.2×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $2,461.90 $3,517 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,327.20 $1,896 0.4×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $1,691.90 $2,417 0.1×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure		 $2,120.30 $3,029 0.3×
Open tx interphalangeal joint dislocation (26785) $1,269.10 $1,813 0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,334.90 $1,907 0.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,379 $1,970 0.4×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $1,785 $2,550 0.2×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $1,947.40 $2,782 0.1×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,474.20 $2,106 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $2,056.60 $2,938 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $2,034.20 $2,906 0.3×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $1,512.70 $2,161 0.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,908.90 $2,727 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,073 $4,390 0.4×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $2,732.10 $3,903 0.3×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $2,571.80 $3,674 0.2×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $3,250.80 $4,644 0.4×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $2,433.90 $3,477 0.2×
Ostc prtl exostc/condylc metar head (28288) $1,152.90 $1,647 0.3×
Ostectomy calcaneus (28118) $1,135.40 $1,622 0.3×
Osteoplasty Radius/Ulna Shortening (25390)
likely a partial charge, not the full procedure		 $2,038.40 $2,912 0.3×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $2,534 $3,620 0.2×
Osteotomy radius distal third (25350)
likely a partial charge, not the full procedure		 $1,789.90 $2,557 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $2,011.10 $2,873 0.4×
Parathyroidectomy or exploration of parathyroid(s); (60500)
unusually low: confirm this is the full procedure		 $2,554.30 $3,649 0.4×
Partial Excision Distal Phalanx Finger (26236) $1,026.20 $1,466 0.6×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $2,506 $3,580 0.7×
Partial hymenectomy or revision of hymenal ring (56700) $501.90 $717 0.1×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,910.30 $2,729 0.3×
Partial removal of toe (28160) $960.40 $1,372 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,621.90 $2,317 0.2×
Partical Excision Bone Phalanx Toe (28124) $1,108.80 $1,584 0.3×
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure		 $2,319.10 $3,313 0.3×
Pelvic examination under anesthesia (other than local) (57410) $291.20 $416 0.1×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $1,060.50 $1,515 0.3×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582)
likely a partial charge, not the full procedure		 $2,130.10 $3,043 0.3×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $733.60 $1,048 0.2×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,290.10 $1,843 0.4×
Perineoplasty rpr perineum nonobstetrical spx (56810) $681.10 $973 0.2×
Peritoneal Lavage (49084) $242.20 $346 0.2×
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines		 $362.60–$399.70 $518–$571 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,633.10 $2,333 0.4×
Pin hand dislocation (26676) $1,188.60 $1,698 0.3×
Placement of seton (46020) $627.90 $897 0.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $1,598.80 $2,284 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $136.50 $195 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $267.40 $382 0.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $994.70 $1,421 0.3×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $2,084.60 $2,978 0.3×
Prq skel fixj metar fx w/manj (28476) $913.50 $1,305 0.3×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,836.80 $2,624 0.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $1,805.30 $2,579 0.5×
Punch biopsy skin single lesion (11104) $254.10 $363 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $244.30 $349 0.5×
Puncture Aspiration Cyst Breast (19000) $119.70 $171 0.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 5 matching MRF lines		 $277.90–$662.90 $397–$947 varies
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
likely a partial charge, not the full procedure		 $1,713.60 $2,448 0.2×
Radical resection of tumor, femur or knee Facility (27365) $5,308.80 $7,584 1.5×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,211.70 $1,731 0.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $1,939 $2,770 0.2×
Reconstruction of dislocating patella; with patellectomy Facility (27424)
likely a partial charge, not the full procedure		 $2,043.30 $2,919 0.3×
Reconstruction Tongue Fold (41520) $741.30 $1,059 0.2×
Relieve Pressure on Nerve(S) (64722) $1,558.90 $2,227 0.7×
Removal foreign body foot deep (28192) $833 $1,190 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $364 $520 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $30.10 $43 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $92.40 $132 1.4×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $1,409.10–$13,001.80 $2,013–$18,574 varies
Removal Implant Superficial Separate Procedure (20670) $856.80 $1,224 0.5×
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $1,691.90 $2,417 0.3×
Removal of bone lesion (23140) $2,084.60 $2,978 0.6×
Removal of humerus lesion (23150) $1,766.80 $2,524 0.5×
Removal of implant from finger or hand (26320) $918.40 $1,312 0.5×
Removal of nail bed (11750) $319.20 $456 0.7×
Removal of testis (54520) $749.70 $1,071 0.2×
Removal of tunneled intraperitoneal catheter (49422) $501.20 $716 0.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $178.50 $255 0.8×
Removal subcutaneous cardiac rhythm monitor (33286) $244.30 $349 0.3×
Removal sweat gland lesion (11450) $675.50 $965 0.2×
Removal, under anesthesia, of external fixation system (20694) $1,002.40 $1,432 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $120.40 $172 0.4×
Remove drug implant device (11982) $222.60 $318 0.4×
Remove Forearm Foreign Body (25248) $1,096.20 $1,566 0.6×
Remove foreign body from eye (65205) $85.40 $122 0.6×
Remove Intrauterine Device (58301) $220.50 $315 0.6×
Remove knee joint lining (27334) $1,866.20 $2,666 0.5×
Remove Lower Leg Bone Lesion (27635) $1,520.40 $2,172 0.4×
Remove lung catheter (32552) $461.30 $659 0.7×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $307.30–$358.40 $439–$512 varies
Remove Peritoneal Foreign Body (49402) $2,201.50 $3,145 0.6×
Remove Tendon Sheath Lesion (26160) $980 $1,400 0.5×
Remove/Insert Drug Implant (11983) $279.30 $399 0.6×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $252.70 $361 0.0×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,798.30 $2,569 0.2×
Repair arm/leg nerve (64857) $2,413.60 $3,448 0.6×
Repair Blood Vessel Direct Hand Finger (35207) $1,816.50 $2,595 0.5×
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure		 $2,382.10 $3,403 0.4×
Repair Blood Vessel Direct Upper Extremity (35206) $1,759.10 $2,513 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,166.20 $1,666 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $756 $1,080 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $951.30 $1,359 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $711.90–$1,677.90 $1,017–$2,397 varies
Repair complex trunk 1.1-2.5 cm (13100) $590.80 $844 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $765.10 $1,093 0.9×
Repair Elbow Perc (24357) $1,099 $1,570 0.3×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,493.80–$1,771 $2,134–$2,530 varies
Repair Finger/Hand Tendon (26350) $1,924.30 $2,749 0.5×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $852.60 $1,218 0.2×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $2,202.20 $3,146 0.3×
Repair Hallux Rigidus (28289) $1,601.60 $2,288 0.4×
Repair Hand Joint (26540) $2,669.10 $3,813 0.7×
Repair Hand Tendon (26410) $1,528.10 $2,183 0.9×
Repair initial femoral hernia, any age; reducible (49550) $1,528.80 $2,184 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,348.20 $1,926 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $647.50 $925 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $599.20–$698.60 $856–$998 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $640.50–$746.90 $915–$1,067 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $652.40–$760.20 $932–$1,086 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $454.30 $649 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $720.30 $1,029 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $649.60 $928 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $25.73–$821.10 $36.75–$1,173 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $529.20 $756 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $540.40 $772 1.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $844.20 $1,206 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $627.90 $897 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $987.70 $1,411 0.4×
Repair lumbar hernia (49540)
likely a partial charge, not the full procedure		 $1,833.30 $2,619 0.3×
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $2,421.30 $3,459 0.2×
Repair Nonunion Hand (26546)
unusually low: confirm this is the full procedure		 $2,437.40 $3,482 0.3×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
likely a partial charge, not the full procedure		 $2,319.80 $3,314 0.3×
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure		 $1,628.20 $2,326 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,302.70 $1,861 0.2×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $2,484.30 $3,549 0.3×
Repair of knee ligaments (27409)
unusually low: confirm this is the full procedure		 $2,555 $3,650 0.3×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $2,152.50 $3,075 0.3×
Repair of nail bed (11760) $444.50 $635 0.5×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
unusually low: confirm this is the full procedure		 $2,829.40 $4,042 0.3×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,849.40 $2,642 0.2×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,787.80 $2,554 0.2×
Repair of shoulder (23420)
unusually low: confirm this is the full procedure		 $2,647.40 $3,782 0.3×
Repair radius & ulna (25415)
unusually low: confirm this is the full procedure		 $2,564.80 $3,664 0.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,907.50 $2,725 0.3×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,961.40 $2,802 0.2×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,936.90 $2,767 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,127 $1,610 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,975.40 $2,822 0.2×
Repair Toe Dislocation (28645) $1,512 $2,160 0.4×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $778.40–$1,472.10 $1,112–$2,103 varies
Repair tongue laceration (41250) $450.10 $643 0.9×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $4,294.50 $6,135 0.5×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,109.50 $1,585 0.1×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure		 $1,565.20 $2,236 0.2×
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure		 $1,520.40 $2,172 0.2×
Repair/graft femur head/neck (27170) $4,319.70 $6,171 0.5×
Repair/Revise Wrist Joint (25320)
unusually low: confirm this is the full procedure		 $2,697.10 $3,853 0.3×
Reposition Venous Catheter (36597) $167.30 $239 0.1×
Repr elbow lat ligmnt w/tiss (24343) $1,878.80 $2,684 0.5×
Rerepair ing hernia reduce (49520) $1,452.50 $2,075 0.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $707.70 $1,011 0.2×
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure		 $4,440.80 $6,344 0.3×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure		 $4,795 $6,850 0.3×
Revise ulnar nerve at wrist (64719) $1,068.90 $1,527 0.5×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $1,288 $1,840 0.4×
Revision of humerus (24400)
likely a partial charge, not the full procedure		 $1,903.30 $2,719 0.2×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $2,677.50 $3,825 0.7×
Revision of knee joint (27442)
likely a partial charge, not the full procedure		 $2,372.30 $3,389 0.2×
Revision of lower leg tendon (27685) $1,269.80 $1,814 0.3×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure		 $4,026.40 $5,752 0.3×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $3,474.10 $4,963 0.2×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,577.80 $2,254 0.4×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $4,337.90 $6,197 0.3×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $3,997.70 $5,711 0.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $3,208.10 $4,583 0.2×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $601.30–$1,605.80 $859–$2,294 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $639.10 $913 0.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $489.30 $699 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $387.10 $553 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $441.70 $631 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $327.60 $468 0.5×
Rmvl/revj sling stress incontinence (57287) $1,946 $2,780 0.5×
Rplc Gtube No Revj Trc (43762) $70.70 $101 0.3×
Rplc gtube revj gstrst trc (43763) $167.30 $239 0.6×
Rplcmt compl tun ctr vad w/subq port (36582) $769.30 $1,099 0.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,675.10 $2,393 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $651.70 $931 0.2×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $2,790.90 $3,987 0.4×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $1,437.10 $2,053 0.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,499.40 $2,142 0.4×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,288 $1,840 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,206.80 $1,724 0.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,341.90 $1,917 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $392.70–$400.40 $561–$572 varies
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $1,005.90 $1,437 0.1×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $682.50–$1,290.10 $975–$1,843 varies
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $1,429.40 $2,042 0.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $851.90 $1,217 0.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,673.70 $2,391 0.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,336.30 $1,909 0.4×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
likely a partial charge, not the full procedure		 $1,362.20 $1,946 0.2×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $1,227.10 $1,753 0.3×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,107.70 $3,011 0.6×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $2,102.10 $3,003 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $725.90 $1,037 0.5×
Shave skin lesion 0.5 cm/< (11300) $205.80 $294 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $137.90 $197 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $294 $420 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $215.60 $308 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $157.50 $225 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $195.30 $279 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $217.70 $311 0.5×
Shoulder arthroscopy diagnostic (29805) $1,290.10 $1,843 0.4×
Shoulder Arthroscopy/Surgery (29825) $1,356.60 $1,938 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $226.10 $323 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $161.70 $231 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $217 $310 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $184.10 $263 0.8×
Sigmoidoscopy & Polypectomy (45333) $261.10 $373 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $702.80 $1,004 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $97.24–$511 $138.92–$730 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $165.20 $236 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $168 $240 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $333.90–$410.90 $477–$587 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $166.60 $238 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $424.20 $606 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $218.40 $312 1.0×
Skin Full Grft Face/Genit/Hf (15240) $2,191.70 $3,131 1.0×
Skin sub graft trnk/arm/leg (15271) $224.70 $321 0.3×
Skin Tissue Procedure (17999) $835.80 $1,194 3.7×
Slitting of prepuce (54001) $517.30 $739 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $175.70 $251 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $411.60–$617.40 $588–$882 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $347.90 $497 0.8×
Sperm washing artificial insemination (58323) $37.10 $53 0.2×
Sphincterotomy anal division sphincter spx (46080) $408.10 $583 0.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $296.10–$901.60 $423–$1,288 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,848 $2,640 0.5×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,948.10 $2,783 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,313.20 $1,876 0.4×
Strapping Unna Boot (29580) $86.80 $124 0.5×
Surg tx anal fistula subq (46270) $1,043.70 $1,491 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,100.40 $1,572 0.4×
Suture 1 Nerve Median Motor Thenar (64835) $2,162.30 $3,089 0.6×
Suture 1 Nerve Ulnar Motor (64836) $1,873.90 $2,677 0.5×
Suture digital nerve hand/foot 1 nerve (64831) $1,877.40 $2,682 0.9×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,453.90 $2,077 0.2×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
likely a partial charge, not the full procedure		 $2,174.20 $3,106 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,418.90 $2,027 0.2×
Tangential biopsy skin single lesion (11102) $205.10 $293 0.5×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $1,813 $2,590 0.5×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $1,717.80–$16,600.50 $2,454–$23,715 varies
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $1,223.60 $1,748 0.3×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $1,457.40 $2,082 0.4×
Tenotomy extensor hand/finger open each tendon (26460) $1,098.30 $1,569 0.6×
Tenotomy Flexor Finger Open Each Tendon (26455) $1,124.20 $1,606 0.6×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $1,618.40 $2,312 0.2×
Thoracoscopy w/bx pleura (32609)
likely a partial charge, not the full procedure		 $609 $870 0.1×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601)
likely a partial charge, not the full procedure		 $811.30 $1,159 0.1×
Thyroid biopsy (60100) $228.90 $327 0.3×
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure		 $350.70 $501 0.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,500.80 $2,144 0.7×
Tnot elbow lateral/medial debride open (24358) $1,228.50 $1,755 0.3×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,531.60 $2,188 0.4×
Total Knee Arthroplasty (27447)
range across 3 matching MRF lines		 $2,790.20–$31,505.60 $3,986–$45,008 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $822.50 $1,175 0.2×
Transplant hand tendon (26480) $2,034.20 $2,906 0.6×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure		 $2,795.10 $3,993 0.3×
Treat Big Toe Fracture (28505) $1,326.50 $1,895 0.4×
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure		 $2,314.90 $3,307 0.3×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,759.80 $2,514 0.3×
Treat elbow fracture (24586)
likely a partial charge, not the full procedure		 $2,961 $4,230 0.2×
Treat Elbow Fracture (24635)
unusually low: confirm this is the full procedure		 $2,534 $3,620 0.3×
Treat Finger Fracture Each (26727) $1,411.90 $2,017 0.4×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $2,083.20 $2,976 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,708 $2,440 0.2×
Treat Hip Socket Fracture (27222) $2,363.90 $3,377 8.6×
Treat humerus fracture (24500) $980 $1,400 3.6×
Treat Humerus Fracture (24505) $1,309.70 $1,871 0.7×
Treat humerus fracture (23600) $924 $1,320 3.4×
Treat knee fracture (27532) $1,689.10 $2,413 0.5×
Treat Knee Fracture(S) (27538) $1,302 $1,860 4.7×
Treat kneecap dislocation (27566)
unusually low: confirm this is the full procedure		 $3,261.30 $4,659 0.4×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,737.40 $2,482 0.2×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $1,198.40–$2,263.80 $1,712–$3,234 varies
Treat vagina infection (57150) $78.40 $112 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,256.50 $1,795 0.7×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $44.84–$877.10 $64.05–$1,253 varies
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $2,809.80 $4,014 0.3×
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure		 $1,343.30 $1,919 0.2×
Trim skin lesion (11055) $145.60 $208 0.7×
Trim skin lesions 2 to 4 (11056) $68.60 $98 0.3×
Trimming Nondystrophic Nails Any Number (11719) $28 $40 0.4×
Tubal ligation (58600) $954.80 $1,364 0.3×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $1,976.80 $2,824 0.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $840.70 $1,201 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $2,807 $4,010 0.3×
Tx Missed Abortion First Trimester Surgical (59820) $1,020.60 $1,458 0.3×
Tx Missed Abortion Second Trimester Surgical (59821) $955.50 $1,365 0.3×
Tx open tendon flexor toe 1 tendon spx (28232) $648.20 $926 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $464.10 $663 0.6×
Tx superficial wound dehiscence w/packing (12021) $369.60 $528 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $576.10 $823 2.1×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $2,289 $3,270 0.2×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,522.50 $2,175 0.4×
Unlisted hysteroscopy procedure, uterus (58579) $793.80 $1,134 3.5×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $1,396.50 $1,995 0.2×
Unlisted laparoscopy procedure appendix (44979)
likely a partial charge, not the full procedure		 $1,558.20 $2,226 0.2×
Unlisted laparoscopy procedure oviduct ovary (58679)
likely a partial charge, not the full procedure		 $858.20 $1,226 0.1×
Unlisted laparoscopy procedure stomach (43659) $4,827.20 $6,896 0.7×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $1,691.90 $2,417 0.3×
Unlisted laparoscopy procedure, biliary tract (47579)
likely a partial charge, not the full procedure		 $905.10 $1,293 0.1×
Unlisted laparoscopy procedure, bladder (51999)
likely a partial charge, not the full procedure		 $1,696.10 $2,423 0.3×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $1,833.30 $2,619 0.3×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $3,733.80 $5,334 0.6×
Unlisted laparoscopy procedure, spermatic cord (55559)
likely a partial charge, not the full procedure		 $591.50 $845 0.1×
Unlisted laparoscopy procedure, uterus (58578)
unusually low: confirm this is the full procedure		 $2,069.90 $2,957 0.3×
Unlisted procedure anus (46999) $646.10 $923 0.6×
Unlisted procedure arthroscopy (29999) $1,497.30 $2,139 5.4×
Unlisted procedure colon (45399) $3,313.10 $4,733 3.2×
Unlisted procedure femur or knee (27599) $2,626.40 $3,752 9.6×
Unlisted procedure foot or toes (28899) $1,515.50 $2,165 5.5×
Unlisted Procedure Hands/Fingers (26989) $1,050.70 $1,501 3.8×
Unlisted Procedure Intestine (44799) $2,735.60 $3,908 2.7×
Unlisted Procedure Male Genital System (55899) $549.50 $785 2.0×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $178.50–$333.20 $255–$476 varies
Unlisted procedure pelvis/hip joint (27299) $3,054.80 $4,364 11.1×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $42.63–$536.90 $60.90–$767 varies
Unlisted Procedure Rectum (45999) $2,892.40 $4,132 2.8×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,152.50 $3,075 2.1×
Vag hyst w/t/o & vag repair (58263)
unusually low: confirm this is the full procedure		 $2,648.10 $3,783 0.5×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,802.50–$5,600 $2,575–$8,000 varies
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure		 $2,361.80 $3,374 0.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $2,396.10 $3,423 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $667.80 $954 0.3×
Vulvectomy simple partial (56620) $1,520.40 $2,172 0.4×
Wedge excision skin nail fold (11765) $270.20 $386 0.6×
Wound Prep Trk/Arm/Leg (15002) $618.80 $884 0.8×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
likely a partial charge, not the full procedure		 $916.30 $1,309 0.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.